CARLA PATEL
Dependent on policy B01M000091
Claims
3
Attributed to this person
Charged
754.00
Total submitted
Denied
754.00
3 denied claims
Patient responsibility
0.00
Reported on the 835
Patient responsibility is the amount reported on the 835 as assigned to the patient — deductible, coinsurance or copay. It is not proof that the provider billed the member, that the member owes it, or that it was collected, and it is kept separate from denied amounts throughout.
Who this is
| Field | Value |
|---|---|
| Name | CARLA PATEL |
| Role on the policy | Dependent · relationship 01 |
| Policy | B01M000091 |
| Date of birth | 20 Sep 1965 |
| Plan | GOLD PPO |
| Covered from | 12 Jul 2024 |
| Covered to | 13 Feb 2025 |
Patient responsibility reported on the 835
No patient responsibility reported on this person's remittances.
Care and denials
| Claim | Service | Charged | Payer | Outcome | Denied |
|---|---|---|---|---|---|
| CLM0000359 | 7 Mar 2025 | 264.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 264.00 |
| CLM0000360 | 26 Feb 2025 | 316.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 316.00 |
| CLM0000358 | 16 Feb 2025 | 174.00 | MERIDIAN HEALTH PLAN | CARC 27 · ELIGIBILITY | 174.00 |